In general, water is the best medium for wound cleaning. It removes large parts of slough and hence undesirable microbes effectively; in particular if it is applied with the pressure that can be achieved by using a wash-bottle or a large syringe. If a large contusion zone or…
It is to be recognised that some wounds have a contusion zone consisting of tissue balancing on the edge between being viable (being able to live) and unviable and therefore destined to die off sooner or later. It is preferable to get rid of the unviable tissue as…
Diabetic foot ulcers and venous leg ulcers originate as secondary symptoms of a primary disease process that affects the entire body, i.e. diabetes and cardiovascular disease, respectively. Among the symptoms of both diseases are ulcers, and in particular diabetic foot ulcers and venous leg ulcers. Both types of…
Yes. The skin hosts a microbiome, which is a complex ecosystem of bacteria, fungi, viruses and mites living in a balance that is influenced by a long array of factors and is different between individuals and even between locations on the same individual. The microbiome does not only…
Yes. MPPT supports autolytic debridement of a wound. MPPT is not classified as a debrider. However, as MPPT via its mode of action supports the immune system, it favours the debridement of a wound by way of autolytic debridement.
No, MPPT is for use during the inflammatory wound healing phase. Once the wound is clean, free of infection and exhibiting new granulation tissue as buds or healthy-red looking connective tissue and / or epithelial tissue, it has exited the inflammatory phase and entered the proliferative healing phase.…
A very deep wound is rapidly built up from the bottom with new tissue and then covered with epithelium. Even after a layer of epithelium has closed the wound, the scar continues remodelling, building up and levelling out with the skin surface for months.
Chlorhexidine binds strongly to the skin and tissues. Chlorhexidine is cytotoxic to fibroblasts which are the creators of the connective tissue essential to wound healing. It is toxic to human tissue cells at the same concentrations it is toxic to bacteria. http://www.ncbi.nlm.nih.gov/pubmed/3238890 Chlorhexidine’s activity lasts at least 48…
MPPT works by absorbing the exudate, pumping it to the enlarged surface of the MPPT layer from where it evaporates. Compression therapy normally involves covering the wound with some type of occlusive material. This will interfere with the evaporation facilitated by MPPT and, therefore it would be preferable…
MPPT works by absorbing the exudate, pumping it to the enlarged surface of the MPPT layer from where it evaporates. Occlusive dressings interfere with the evaporation and are, consequently, not advised. Protective bandaging is usually occlusive and, therefore, not recommended. If protective padding is absolutely necessary, a plain,…